He aha te Menorrhagia? Tohutohu, Take, me te Maimoatanga

Ko te Menorrhagia te kupu rongoā mō te toto nui rawa atu, te roa rānei o te wā. Ki te whakamakuku koe i te tauera, i te tampon rānei ia haora mō ngā haora maha, kāore rānei e mutu tō wā i roto i ngā rā e whitu, pea kei te pāngia koe e te menorrhagia.

Ko tēnei āhuatanga e pā ana ki te kotahi i roto i ngā wāhine e rima i tētahi wā o o rātou oranga. Ahakoa ka āhua nui, ka whakaroa hoki ngā wā, ko te rongo pai ko ngā maimoatanga whai hua kei reira hei āwhina i a koe ki te whakahaere, ki te whakamarie hoki.

He aha te Menorrhagia?

Ko te tikanga o te Menorrhagia, he nui rawa atu, he roa rawa atu rānei tō rere toto i te mea noa. Ka whakatauritetia e ngā tohunga hauora ko te ngaro atu i te 80 milliliters o te toto i roto i tō huringa, ahakoa kāore koe e hiahia ki te ine i tēnei koe anō.

Ka kiia tō wā he nui mena ka hiahia koe ki te whakarereke i tō tauera, i tō tampon rānei ia haora mō ngā haora maha e whai ake nei. He menorrhagia ano hoki mena ka neke atu i te whitu ngā rā o tō wā, kāore rānei e mutu te toto i te roa atu i te whitu rā, te nui atu rānei o ngā kōeke i te kuata.

Ka taea te whanake i tēnei āhuatanga i tetahi tau i roto i ō tau whakaputa uri. Ko ētahi wāhine ka pāngia noa iho, ko ētahi atu ka whakahaere i ia marama. Ahakoa te aha, e tika ana kia tautokohia koe, me ngā whiringa maimoatanga e mahi ana mō tō oranga.

He aha ngā Tohutohu o te Menorrhagia?

Ko ngā tohu matua o te menorrhagia ka nui atu i te wā “nui”. Ka kite pea koe i ngā huringa maha e whakaroa ana i tō mahi o ia rā me tō whakamarie.

Koinei ngā tohu matua hei titiro atu:

• Te whakamakuku i te tauera, i te tampon rānei ia haora mō ngā haora maha e whai ake nei
• Te whakamahi i ngā tauera e rua i te wā kotahi, i te tauera me te tampon rānei mō te tiaki atu
• Te toto mo te neke atu i te whitu ngā rā
• Te tukunga i ngā kōeke toto nui atu i te kuata
• Te rere, te pupuhi rānei e puta mai ana i te wa poto
• Te toto i waenganui i ngā wā, i muri rānei i te menopause
• Te mamae nui e kore e awhinahia e te rongoā mamae

Pea ka pāngia koe e ngā tohu e pā ana ki te ngaro o te toto. Kei roto i ēnei te āhua o te ngenge, te ngoikore rānei, te poto o te manawa.

Mena kei te whakaroa te toto nui i tō moe, i tō mahi, i ō mahi pāpori rānei, ko tētahi tohu nui tēnā. Kāore tō wā e tika kia whakahaere i tō oranga, kāore rānei e whakapouri i a koe ki te wehe atu i te kāinga.

He aha ngā Take o te Menorrhagia?

Ka taea te whanake i te Menorrhagia mai i ngā take maha. I etahi wa ka hono atu ki ngā huringa homoni, i etahi atu wā ka puta mai i ngā raruraru hanganga i roto i tō pūnaha whakaputa uri.

Ko ngā take tino noa ko ēnei:

• Ngā koretake homoni, ina koa i waenganui i te estrogen me te progesterone
• Ngā uaua uterine (ngā tipu kore mate pukupuku i te pakitara o te kopu)
• Ngā polyps uterine (ngā tipu iti, pai i te papanga o te kopu)
• Adenomyosis (ina e tipu ana te papanga o te kopu ki te pakitara uaua)
• Ngā taputapu whakauru uterine (IUDs), ina koa ngā mea kōpara
• Ētahi rongoā penei i ngā kai whakawai toto
• Ngā mate thyroid
• Ngā mate toto e pā ana ki te toto

Ka iti ake te nui o te menorrhagia hei tohu i ngā āhuatanga nui ake. Ka puta te hyperplasia endometrial ina nui rawa te māngere o te papanga o te kopu. Ka iti te mate pukupuku kopu, mate pukupuku cervix rānei e taea ai te toto nui, ahakoa koinei te mea tino nui ki ngā wāhine neke atu i te 45.

I etahi wā kaore e taea e ngā tākuta te kimi i te take motuhake, e kiia ana ko te toto uterine kore mahi. Kāore tēnei e tikanga kāore he mea e taea te mahi – ka taea tonu te whai hua o ngā maimoatanga.

Nōhea te Tiro atu ki te Tākura mō te Menorrhagia?

Me whakapiri atu koe ki tō kaiwhakarato hauora mena kua nui ake, kua roa ake rānei ō wā i te mea noa. Kaua e tatari kia pai ake, ina koa ki te pānga atu ki tō kounga o te ora.

Rapua te tiaki hauora i te wa poto mena ka pāngia koe e tētahi o ēnei tohu:

• Te toto e whakamakuku ana i te tauera, i te tampon rānei ia haora mō te neke atu i ngā haora e rua
• Ngā wā e roa atu ana i te whitu ngā rā
• Ngā kōeke nui atu i te kuata
• Te toto i waenganui i ngā wā
• Te mamae nui e whakaroa ana i ngā mahi o ia rā

Me rapu wawe koe i te tiaki hauora mena ka āhua wiri, ngoikore rānei koe.

Mena kei te pāngia koe e te ngenge, te poto o te manawa, te tere o te ngakau rānei, ko ēnei pea ngā tohu o te mate toto mai i te ngaro o te toto. Ahakoa kāore i te tūkino tonu, ko ēnei tohu e hiahia ana ki te whakarite i tetahi whakatau i te rā kotahi, i te ra e whai ake nei rānei me tō tākuta.

He aha ngā Take Pāngarau mō te Menorrhagia?

Ka taea e ētahi take te whakanui ake i tō tūponotanga ki te whanake i te menorrhagia. Ko te mārama ki ēnei take pāngarau ka taea te āwhina i a koe ki te pupuri i te mataara ki ngā huringa i roto i tō huringa wā.

Ko te tau te mea nui ki tō taumata tūponotanga. Ko ngā taitamariki kua tīmata noa te wā, me ngā wāhine e whakatata ana ki te menopause, ka tino pāngia e te toto nui na te rereke o ngā homoni.

Koinei ngā take pāngarau matua hei mataara:

• He taitamariki, he perimenopause rānei (ngā tau i mua i te menopause)
• He whānau te hītori o ngā wā nui, mate toto rānei
• He taumaha, he momona rānei
• He mate huka, mate thyroid rānei
• Te tango i ētahi rongoā, tae atu ki ngā kai whakawai toto
• He mate polycystic ovary syndrome (PCOS)
• Ngā raruraru haputanga o mua
• Te whakamahi i ngā IUDs kōpara mō te whakahaere whānau

Ko te whai i tetahi take pāngarau, kāore rānei e tikanga ka whanake koe i te menorrhagia. He maha ngā wāhine e whai ana i ēnei take kaore e pāngia e te toto nui, ko ētahi atu kaore he take e mohiotia ana.

He aha ngā Raruraru Ka Taea o te Menorrhagia?

Ahakoa kāore te menorrhagia i te mate kino, ka taea te arahi ki ngā raruraru e pā ana ki tō hauora me tō oranga pai. Ko te take tino noa ko te mate toto iti o te rino mai i te ngaro o te toto.

Ka whanake te mate toto ina kore e ranea ngā pūtau toto whero hauora o tō tinana ki te kawe i te hāora. Pea ka āhua ngenge tonu koe, ngoikore rānei, makariri rānei. Ka kite etahi wahine i te kiri ma, i ngā kuihi pakaru rānei.

Koinei ngā raruraru matua ka taea te whanake:

• Te mate toto iti o te rino
• Te ngenge nui e whakaroa ana i ngā mahi o ia rā
• Te wehe atu i te hapori na te wehi kei rere te toto i roto i te tiaki
• Te manukanuka, te pouri rānei e pā ana ki te toto nui kaore e mōhiotia
• Te whakaroa o te moe mai i te toto i te pō
• Te utu moni nui mai i te hoko maha o ngā tauera, tampon rānei

I etahi wā, ka taea e te toto nui te arahi ki ngā raruraru nui ake. Pea ka hiahia te mate toto nui ki ngā whakawhitinga toto, ahakoa he iti tēnei. Ka whanake etahi wahine i ngā raruraru ngakau mena ka nui te mate toto, kaore hoki e rongoātia mō te wa roa.

Kāore hoki e iti te pānga o te ngakau. He maha ngā wāhine e pouri ana, whakama ana, manukanuka ana rānei mō ō rātou wā kaore e mōhiotia. Ka taea e tēnei te pānga ki ngā hononga, ki te mahi, ki te kounga o te ora katoa.

Me pēhea te ārai i te Menorrhagia?

Ahakoa kaore e taea e koe te ārai i ngā take katoa o te menorrhagia, ka taea e ētahi whiringa oranga te whakaiti i tō tūponotanga. Ko te pupuri i te taumaha hauora me te whakahaere i ngā āhuatanga hauora kei roto ko ngā tikanga ārai tino whai hua.

Ka taea e te whakakori tinana te awhina i te whakataurite i ō homoni. Whakaarohia te neke atu i te 30 meneti o te mahi ngāwari i te nuinga o ngā rā o te wiki. Kāore tēnei e hiahia kia kaha – ko te hikoi, te kauhoe, te yoga katoa.

Koinei ngā kaupae ka taea te āwhina i te ārai i te menorrhagia:

• Pupuri i te taumaha hauora mā te kai tōtika me te whakakori tinana
• Whakahaere i te ahotea mā ngā tikanga whakangāwari, kāre rānei
• Whiwhi i te moe nui (7-9 haora ia pō)
• Tangohia ngā taapiringa rino mena ka tūtohuhia e tō tākuta
• Whakaitihia te inu waipiro
• Kaua e whakakī, na te mea ka taea te whakaiti i ngā koretake homoni
• Aroturukihia ō wā ki te kite wawe i ngā huringa

Mena kei a koe ngā āhuatanga penei i te mate huka, mate thyroid rānei, ko te pupuri i a rātou kia pai te whakahaere ka taea te āwhina i te ārai i ngā koretake o te wā. Ka taea e ngā tirotiro auau me tō kaiwhakarato hauora te hopu i ngā raruraru i mua i te kino.

Ko ētahi take o te menorrhagia, penei i ngā mate toto ira, i ngā raru hanganga rānei, kaore e taea te ārai. Heoi, ko te kite wawe me te maimoatanga ka taea te whakaiti i ō rātou pānga ki tō oranga.

Me pēhea te Whakataurite i te Menorrhagia?

Ka tīmata tō tākuta mā te ui i ngā pātai taipitopito mō tō hītori wā me ō tohu. Ka hiahia rātou ki te mohio ki te roa o ō wā, te nui o te toto, me te wā i tīmata ai ngā huringa.

Ko te pupuri i te puka wā mō ngā marama torutoru i mua i tō whakatau ka tino awhina. Tuhia ngā rā o ō wā, te maha o ngā tauera, tampon rānei e whakamahi ana koe i ia rā, me ētahi tohu penei i te mamae, te kōeke rānei.

Ko te tukanga whakataurite ka whakauruhia ngā kaupae maha:

1. Hītori hauora me te whakamātautau tinana
2. Te whakamātautau pelvic hei tirotiro i ngā koretake
3. Ngā whakamātautau toto hei tirotiro i te mate toto, ngā raruraru thyroid, me ngā mate toto
4. Te whakamātautau haputanga hei whakakore i ngā raruraru haputanga
5. Te whakamātautau Pap mena kei te tika koe mō te tirotiro auau

I runga i ō tohu me ngā hua whakamātautau tuatahi, pea ka tūtohu atu tō tākuta i ngā whakamātautau atu. Ka taea e te ultrasound te whakaatu i ngā uaua, polyps rānei, i ētahi atu raruraru hanganga i roto i tō kopu me ō ovaries.

I etahi wā ka hiahiatia ngā whakamātautau motuhake atu. Ko te biopsy endometrial te tango i tetahi tauira iti o te papanga o tō kopu hei tirotiro i ngā pūtau koretake. Ka taea e te hysteroscopy te titiro tika atu ki roto i tō kopu mā te whakamahi i te tirohanga iti, mārama.

Kaua e manukanuka mena ka hiahia koe ki ngā whakamātautau maha – ko tēnei whānui te āwhina i a koe ki te whiwhi i te maimoatanga tino whai hua. Ko te nuinga o ngā whakamātautau he tere, he iti noa te mamae.

He aha te Maimoatanga mō te Menorrhagia?

Ko te maimoatanga mō te menorrhagia e whakawhirinaki ana ki te take, ki tō tau, ki ō mahere haputanga o muri mai rānei. Ko te rongo pai ko ngā whiringa whai hua maha kei reira, mai i ngā rongoā ki ngā tukanga iti te whakauru.

Pea ka tīmata tō tākuta ki ngā maimoatanga iti rawa te whakauru. Ka taea e ngā rongoā te whakarato i te whakamarie nui kaore e hiahia ana ki te pokanga, ki ngā tukanga rānei.

Koinei ngā whiringa maimoatanga matua:

• Te whakahaere whānau homoni (ngā pire, papatahi, mowhiti rānei) hei whakataurite i ngā huringa
• Te rongoā progestin hei whakataurite i ngā homoni
• Ngā rongoā anti-inflammatory kore-steroidal (NSAIDs) hei whakaiti i te toto me te mamae
• Te waikawa tranexamic hei āwhina i te toto kia nui ake te toto
• Ngā taapiringa rino hei rongoā, hei ārai rānei i te mate toto
• Te IUD homoni (Mirena) hei whakaiti i te papanga o te kopu

Mena kaore ngā rongoā e whakarato i te whakamarie nui, pea ka tūtohu atu tō tākuta i ngā tukanga. Ko te ablation endometrial te whakangaro i te papanga o te kopu hei whakaiti i te toto. Ko tēnei he tukanga i te rā kotahi ka iti ake te whakauru i te pokanga.

Mō ngā wāhine e whai ana i ngā uaua, polyps rānei, ka taea te mahi i ngā tukanga tango mā te tara kaore he tapahi o waho. Ko te hysterectomy te mea e whakaarohia ana anake ina kore ngā maimoatanga atu i mahi, kaore hoki koe e hiahia ki ngā haputanga o muri mai.

Ko te maimoatanga tika mōu e whakawhirinaki ana ki ngā take maha. Ka mahi tahi tō tākuta me koe ki te kimi i te huarahi e pai ana ki tō oranga, ki ō whāinga hauora, ki ō manakohanga whaiaro.

Me pēhea te tango i te maimoatanga kāinga i te wā o te Menorrhagia?

Ahakoa kei te mahi koe me tō tākuta mō te maimoatanga roa, ka taea e ētahi rongoā kāinga te āwhina i a koe ki te whakahaere i te toto nui kia mārama ake. Kāore ēnei rautaki e whakaora i te menorrhagia, engari ka taea te whakahaere i tō oranga o ia rā.

Tuatahi, whakawhiwhi ki ngā hua wā pai e whakarato ana i te tiaki pai ake. Ka taea e ngā tauera po, ngā tampons nui, i ngā kapu wā rānei te whakawhiwhi i a koe ki te whakawhirinaki nui ake, me te tiaki roa ake.

Koinei ngā rautaki whakahaere kāinga whai hua:

• Whakamahia he papatahi wera, kau rānei hei whakangāwari i te mamae
• Tangohia te ibuprofen, naproxen rānei hei whakaiti i te toto me te mamae
• Kai i ngā kai whai rino penei i te pīni, ngā mīti ngawari, me ngā piini
• Pupuri i te wai mā te inu i te wai nui
• Whiwhi i te okioki atu i ō rā tino nui
• Kakahu kakahu pouri, ka mau atu hoki i ngā taonga atu i te wa e haere ana
• Whakaarohia ngā parewai moenga mō te rangimarie o te ngākau

Ka kite etahi wahine e āwhina ana ētahi kai, taapiringa rānei ki te whakaiti i te toto, ahakoa he iti te mōhiohio pūtaiao.

Ko te whakahaere i te ahotea ka taea te āwhina, na te mea ka taea e ngā homoni ahotea te whakaiti i ngā koretake o te wā. Whakamātauhia ngā tikanga whakangāwari penei i te manawa hohonu, te whakaaroaro, te yoga ngāwari rānei. Ko te whiwhi i te moe nui he mea nui ano hoki mō te taurite homoni.

Pupuri i te ara o te mea e āwhina ana i a koe ki te pai ake te āhua. Ka nui te uara o tēnei mōhiohio i te wā e kōrero ana koe mō ngā whiringa maimoatanga me tō kaiwhakarato hauora.

Me pēhea te Whakarite mō tō Whakatau Tākura?

Ko te whakarite mō tō whakatau ka taea te āwhina i a koe ki te whiwhi i te hua nui mai i tō haerenga, kia mohio hoki tō tākuta ki ngā mōhiohio katoa e hiahiatia ana hei āwhina i a koe. Tīmata mā te kohikohi i ngā mōhiohio mō ō huringa wā me ō tohu.

Hangaia he puka wā mena kaore ano koe i mahi. Aroturukihia ō rā wā, te kaha o te rere, me ētahi tohu mō te rua huringa iti i mua i tō whakatau. Ka hoatu tēnei ki tō tākuta ngā raraunga motuhake hei mahi.

Koinei ngā mea hei whakarite i mua i tō haerenga:

• Rārangi o ngā rongoā me ngā taapiringa katoa e tangohia ana e koe
• Te hītori whānau o ngā wā nui, mate toto rānei
• Ngā pātai mō ngā whiringa maimoatanga me ō rātou pānga
• Ngā mōhiohio mō ō hiahia whakahaere whānau me ō mahere haputanga
• Ngā kōrero mō te pānga o ngā wā ki tō oranga o ia rā
• Ngā hua whakamātautau o mua, rēkōta hauora rānei e pā ana ki ngā take gynecologic

Tuhia ō pātai tino nui i mua. He ngāwari te wareware i te mea i hiahia koe ki te ui i te wā kei roto koe i te ruma whakamātautau. Kaua e whakaroa ki te ui mō tetahi mea e awangawanga ana koe.

Whakaarohia te kawe mai i tētahi hoa, whānau rānei e whakawhirinaki ana koe mō te tautoko, ina koa ki te āhua manukanuka koe. Ka taea e rātou te āwhina i a koe ki te mahara ki ngā mōhiohio nui, ki te whakarato hoki i te tautoko ngakau.

Whakaritea tō whakatau mō te wā kaore koe e wā mena ka taea. Ka taea e tēnei te whakamātautau tino, ahakoa kaua e whakaroa te rapu i te tiaki mena kei te pāngia koe e ngā tohu nui.

He aha te Tākutake Matua mō te Menorrhagia?

Ko te Menorrhagia he āhuatanga noa engari ka taea te rongoā e pā ana ki te miriona o ngā wāhine. Kāore ngā wā nui, roa rānei he mea e tika ana kia ngāwari koe – kei reira ngā maimoatanga whai hua hei whakahoki i tō whakamarie me tō kounga o te ora.

Ko te mea tino nui hei mahara ko koe te tino mohio ki tō tinana. Mena kua nui ake, kua roa ake rānei ō wā i te mea noa, whakawhirinaki ki ō tūāhutanga, ka rapu i te tiaki hauora.

Ka taea e te maimoatanga wawe te ārai i ngā raruraru penei i te mate toto, ka āwhina hoki i a koe ki te whakahoki i te mana ki ō mahi o ia rā. He maha ngā wāhine e kite ana i te whakamarie nui me te maimoatanga tuatahi e ngana ana rātou, ko ētahi atu ka hiahia ki te tirotiro i ngā whiringa torutoru hei kimi i te mea e pai ana.

Kaua e tuku i te whakama, i te whakaaro rānei ko ngā wā nui he “noa” te ārai i a koe ki te whiwhi i te āwhina. Kei a tō kaiwhakarato hauora te wheako whānui ki ngā mate wā, ka hiahia hoki ki te āwhina i a koe ki te pai ake te āhua.

Me te whakataurite tika me te maimoatanga, ka taea e te nuinga o ngā wāhine e whai ana i te menorrhagia te hoki ki te whai i ngā wā e taea te whakahaere kaore e whakaroa i ō rātou oranga. E tika ana kia pai koe, kia whakawhirinaki hoki i ia rā o te marama.

Ngā Pātai Ano e uihia ana mō te Menorrhagia

Q1: Me pēhea te mohio mena he nui rawa tō wā hei whakaaro ko te menorrhagia?

Mena kei te whakarereke koe i tō tauera, i tō tampon rānei ia haora mō ngā haora maha e whai ake nei, roa atu rānei i te whitu ngā rā o tō wā, pea kei a koe te menorrhagia. Ko te tukunga i ngā kōeke nui atu i te kuata, te pupuhi rānei e puta mai ana i te wa poto he tohu ano hoki o te toto nui.

Kāore koe e hiahia ki te ine i te nui o te ngaro o te toto. Aro atu ki te whakarite o ō wā ki te mea noa mōu, me te mea rānei e whakaroa ana i ō mahi o ia rā.

Q2: Ka taea e te menorrhagia te mate kore tamariki?

Ko te menorrhagia anō kāore e tino mate kore tamariki, engari ko ētahi take e taea ai te pānga ki tō kaha ki te whānau. Ko ngā āhuatanga penei i ngā uaua, polyps, koretake homoni rānei ka taea te whakaroa i te haputanga.

Ko te rongo pai ko ngā maimoatanga maha mō te menorrhagia ka taea te whakapai ake i te hua mā te whakaoti i ēnei take.

Q3: He haumaru te whakakori tinana i te wā o ngā wā nui?

Ko te whakakori tinana ngāwari ki te ngāwari te haumaru, ka taea te whakaiti i te mamae, te whakapai ake hoki i tō ngākau i te wā o ngā wā nui. Ka taea te whai hua o ngā mahi penei i te hikoi, te yoga ngāwari, te kauhoe rānei.

Whakarongo ki tō tinana, kaua hoki e whakakori kaha mena kei te āhua ngoikore, wiri rānei koe mai i te ngaro o te toto. Mena he nui tō mate toto, pea ka tūtohu atu tō tākuta ki te whakaiti i te mahi tinana kia pai ake ō taumata rino.

Q4: Ka pai ake rānei te menorrhagia anake?

I etahi wā ka mutu anake te menorrhagia, ina koa ki te puta mai i ngā rereke homoni wa poto. Heoi, he mea nui kia kaua e tatari me te tumanako ka pai ake, ina koa ki te pānga atu ki tō kounga o te ora.

Ka taea e te maimoatanga wawe te ārai i ngā raruraru, ka āwhina hoki i a koe ki te pai ake te āhua i mua. He maha ngā take o te menorrhagia e hiahia ana ki te maimoatanga hauora hei whakakore katoa.

Q5: Ka taea e te ahotea te whakaiti i te menorrhagia?

Ae, ka taea e te ahotea roa te whakaiti i te menorrhagia mā te whakaroa i tō taurite homoni.

Ko te whakahaere i te ahotea mā ngā tikanga whakangāwari, te moe nui, te whakakori tinana auau rānei ka taea te whakaiti i te nui o te toto nui. Heoi, mena kei a koe te menorrhagia, pea ka hiahia koe ki te maimoatanga hauora hei tāpiri ki te whakahaere ahotea.